Armaghane Danesh
ارمغان دانش
armaghanj
Medical Sciences
http://armaghanj.yums.ac.ir
1
admin
1728-6506
1728-6514
10.61186/armaghanj
en
jalali
1402
1
1
gregorian
2023
4
1
28
3
online
1
fulltext
fa
ارزیابی تأثیر ژل ترکیبی هلپه ـ آلوئهورا بر بهبود زخم اپیزیوتومی، شدت درد و رضایت زنان نخستزا در مقایسه با پلاسبو: یک کارآزمایی بالینی تصادفی شده یک سوکور
Evaluation the Effect of Teucrium Polium Plus Aloe Vera Gel on Episiotomy Wound Healing, Pain Intensity and Patient’s Satisfaction in Primiparous Women: A Single Blind Randomized Clinical Trial
بالینی-زنان و زایمان
Gynaecology
پژوهشي
Research
<h1 dir="RTL" style="text-align:justify"><span style="font-size:16pt"><span style="background:white"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Calibri Light","sans-serif""><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">زمینه و هدف:</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black"><span style="font-weight:normal">با توجه به اهمیت کاهش درد و بهبودی اپی زیاتومی و بازگشت سریع</span></span></span></span><span dir="LTR" style="font-size:8.0pt"><span style="font-family:"Arial","sans-serif""><span style="color:black"><span style="font-weight:normal"></span></span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black"><span style="font-weight:normal">تر مادران به فعالیت</span></span></span></span><span dir="LTR" style="font-size:8.0pt"><span style="font-family:"Arial","sans-serif""><span style="color:black"><span style="font-weight:normal"></span></span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black"><span style="font-weight:normal">های روزانه و عدم مطالعه موجود در زمینه تأثیر ژل ترکیبی ژل ترکیبی هلپه ـ آلوئهورا متعاقب اپیزیاتومی، لذا هدف از این مطالعه تعیین و ارزیابی تأثیر ژل ترکیبی هلپه ـ آلوئهورا بر بهبود زخم اپیزیاتومی، شدت درد و رضایت زنان نخستزا در مقایسه با پلاسبو بود. </span></span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black"><span style="font-weight:normal"></span></span></span></span></span></span></span></span></span></span></span></span></h1>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Calibri","sans-serif""><span lang="AR-SA" style="font-size:5.0pt"><span style="font-family:Yagut"><span style="color:black"></span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Calibri","sans-serif""><b><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">روش بررسی:</span></span></span></b><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black"> این مطالعه یک کارآزمایی بالینی تصادفی شده یک سوکور میباشد که بر روی 100 شرکت کننده در </span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">بیمارستان خلیج فارس بندرعباس</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">انجام شد. ژل ترکیبی هلپه ـ آلوئهورا یا ژل پلاسبو دو بار در محل زخم اپیزیاتومی به مدت 10 روز به ترتیب در گروه مداخله و کنترل تجویز شد. متغیرهای پیامد شامل درد و بهبود زخم با مقیاس </span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">ریدا(میزان قرمزی، ادم، اکیموز، ترشحات و نزدیکی لبههای زخم</span></span></span> <span style="font-size:8.0pt"><span style="font-family:"Arial","sans-serif""><span style="color:black"><a href="https://www.sid.ir/search/paper/%D8%A7%D9%BE%DB%8C%D8%B2%DB%8C%D9%88%D8%AA%D9%88%D9%85%DB%8C/fa?page=1&sort=1&ftyp=all&fgrp=all&fyrs=all" target="_blank"><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black"><span style="text-decoration:none"><span style="text-underline:none">اپیزیاتومی</span></span></span></span></span></a></span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">)،</span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black"> رضایت بیماران وارزیابی عوارض جانبی بود. </span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">دادههای جمعآوری شده با استفاده از آزمونهای آماری مجذور کای، تیتست تجزیه و تحلیل شدند. </span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Calibri","sans-serif""><span lang="AR-SA" style="font-size:6.0pt"><span style="font-family:Yagut"><span style="color:black"></span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Calibri","sans-serif""><b><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">یافتهها:</span></span></span></b><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black"> نتایج نشان میدهد که دو گروه از نظر نمره </span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">ریدا</span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black"> در ساعتهای روز چهارم و دهم پس از زایمان تفاوت آماری معنیداری داشتند(05/0</span></span></span><span dir="LTR" style="font-size:8.0pt"><span style="font-family:"Arial","sans-serif""><span style="color:black">p<</span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">). گروه ژل ترکیبی هلپه ـ آلوئهورا نسبت به پلاسبو در طول زمان، بهبود زخم بهتری داشتند. همچنین، در موضوع درد، امتیاز آماری معنیداری پایینتری در گروه ژل ترکیبی هلپه ـ آلوئهورا در </span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">روز چهارم</span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black"> (34/1</span></span></span><span lang="AR-SA" style="font-size:9.0pt"><span style="color:black">±</span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">80/5 در مقابل 42/1</span></span></span><span lang="AR-SA" style="font-size:9.0pt"><span style="color:black">±</span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">79/6) و دهم (88/0</span></span></span><span lang="AR-SA" style="font-size:9.0pt"><span style="color:black">±</span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">71/1 در مقابل 91/0</span></span></span><span lang="AR-SA" style="font-size:9.0pt"><span style="color:black">±</span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">58/2) بعد از زایمان نسبت به پلاسبو گزارش شد(05/0</span></span></span><span dir="LTR" style="font-size:8.0pt"><span style="font-family:"Arial","sans-serif""><span style="color:black">p<</span></span></span><span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">)</span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">. نتایج مطالعه نشان میدهد که رضایت بیمار در روز چهارم(17/1</span></span></span><span lang="AR-SA" style="font-size:9.0pt"><span style="color:black">±</span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">45/3 در مقابل 37/1</span></span></span><span lang="AR-SA" style="font-size:9.0pt"><span style="color:black">±</span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">42/5) و دهم (57/0</span></span></span><span lang="AR-SA" style="font-size:8.0pt"><span style="color:black">±</span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">33/1 در مقابل 21/1</span></span></span><span lang="AR-SA" style="font-size:8.0pt"><span style="color:black">±</span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">50/2) پس از زایمان به طور معنیداری در مقایسه با پلاسبو بهتر بود(05/0</span></span></span><span lang="AR-SA" style="font-size:7.0pt"><span style="font-family:Yagut"><span style="color:black">></span></span></span><span dir="LTR" style="font-size:8.0pt"><span style="font-family:"Arial","sans-serif""><span style="color:black">p</span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">).</span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Calibri","sans-serif""><span lang="FA" style="font-size:2.0pt"><span style="font-family:Yagut"><span style="color:black"></span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Calibri","sans-serif""><b><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">نتیجهگیری:</span></span></span></b><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black"> یافته</span></span></span><span dir="LTR" style="font-size:8.0pt"><span style="color:black"></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">های این مطالعه نشان میدهد که ژل ترکیبی هلپه ـ آلوئهورا باعث بهبود </span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">زخم اپیزیاتومی</span></span></span><b> </b><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">، رضایت بهتر بیماران و شدت درد کمتر در مقایسه با پلاسبو میشود. </span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:"Calibri","sans-serif""><b><span style="font-size:10.0pt"><span style="font-family:"Arial","sans-serif""><span style="color:black">Background & aim: </span></span></span></b><span style="font-size:10.0pt"><span style="font-family:"Arial","sans-serif""><span style="color:black">Considering the importance of pain reduction and recovery of episiotomy and faster return of mothers to daily activities and the lack of existing studies on the effect of the combined gel of Halepah-Aloe vera after episiotomy, therefore the purpose of the present study was to determine and evaluate the effect of Teucrium polium plus Aloe vera gel on episiotomy wound healing, pain intensity and patient’s satisfaction in primiparous women</span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:"Calibri","sans-serif""><b><span style="font-size:5.0pt"><span style="font-family:"Arial","sans-serif""><span style="color:black"></span></span></span></b></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:"Calibri","sans-serif""><b><span style="font-size:10.0pt"><span style="font-family:"Arial","sans-serif""><span style="color:black">Methods</span></span></span></b><span style="font-size:10.0pt"><span style="font-family:"Arial","sans-serif""><span style="color:black">: The present randomized, blinded clinical trial study was conducted on 100 participants in Bandar Abbas Persian Gulf Hospital, Iran. Aloe vera gel combined or placebo gel was prescribed twice in the episiotomy wound site for 10 days in the intervention and control groups, respectively. The outcome variables included pain and wound healing with the Rida scale (the amount of redness, edema, ecchymosis, secretions and the proximity of the edges of the episiotomy wound), patients' satisfaction, and the evaluation of side effects. The collected data were analyzed using chi-square and t-test statistical tests.</span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:"Calibri","sans-serif""><span style="font-size:4.0pt"><span style="font-family:"Arial","sans-serif""><span style="color:black"></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:"Calibri","sans-serif""><b><span style="font-size:10.0pt"><span style="font-family:"Arial","sans-serif""><span style="color:black">Results:</span></span></span></b><span style="font-size:10.0pt"><span style="font-family:"Arial","sans-serif""><span style="color:black"> The results indicated that the two groups had a statistically significant difference in terms of the Rida score on the fourth and tenth day after delivery (p<0.05). The group of Helepe-Aloe vera combined gel had better wound healing time than placebo. Moreover, in the case of pain, there was a statistically significant lower score in the group of Helpeh-Aloe vera combined gel on the fourth day (5.80±1.34 vs. 6.79±1.42) and the tenth day (1.71±0.88 vs. 91 2.58±0.05) after delivery compared to placebo (p<0.05). The results of the study show that patient satisfaction on the fourth day (3.45±1.17 vs. 5.42±1.37) and the tenth day (1.33±0.57 vs. 2.50±1.21) after Delivery was significantly better compared to placebo (p<0.05).</span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:"Calibri","sans-serif""><span style="font-size:5.0pt"><span style="font-family:"Arial","sans-serif""><span style="color:black"></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:"Calibri","sans-serif""><b><span style="font-size:10.0pt"><span style="font-family:"Arial","sans-serif""><span style="color:black">Conclusion</span></span></span></b><span style="font-size:10.0pt"><span style="font-family:"Arial","sans-serif""><span style="color:black">: The findings of this study indicated that the combined gel of Halpa-Aloe Vera improved episiotomy wound, better patient satisfaction and less pain intensity compared to the placebo.</span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:"Calibri","sans-serif""><b><span style="font-size:6.0pt"><span style="font-family:"Arial","sans-serif""><span style="color:black"></span></span></span></b></span></span></span><br>
هلپه, آلوئهورا, اپیزیاتومی, رضایت, درد
Halpe, aloe vera, episiotomy, satisfaction, pain
292
306
http://armaghanj.yums.ac.ir/browse.php?a_code=A-10-1345-4&slc_lang=fa&sid=1
M
Azizi
مریم
عزیزی
azizi.maryam@gmail.com
100319475328460027482
100319475328460027482
Yes
Fertility and Infertility Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran,
مرکز تحقیقات باروری و ناباروری، دانشگاه علوم پزشکی هرمزگان، بندرعباس، ایران
SF
Hekmatzadeh
سیده قاطمه
حکمت زاده
hekmat.fatemehr@gmail.com
100319475328460027486
100319475328460027486
No
Medicinal Plants Research Center, Yasuj University of Medical Sciences, Yasuj, Iran
مرکز تحقیقات گیاهان دارویی، دانشگاه علوم پزشکی یاسوج، یاسوج، ایران
H
Sadeghi
حسین
صادقی
sadeghi.hossein@gmail.com
100319475328460027484
100319475328460027484
No
Medicinal Plants Research Center, Yasuj University of Medical Sciences, Yasuj, Iran
مرکز تحقیقات گیاهان دارویی، دانشگاه علوم پزشکی یاسوج، یاسوج، ایران
T
Bahmanzadeh
طیبه
بهمن زاده
bahmanzadeh.tayeneh@gmail.com
100319475328460027483
100319475328460027483
No
Fertility and Infertility Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran,
مرکز تحقیقات باروری و ناباروری، دانشگاه علوم پزشکی هرمزگان، بندرعباس، ایران
F
Bazarganipour
فاطمه
بازرگانی پور
f.bazarganipour@gmail.com
100319475328460027485
100319475328460027485
No
Medicinal Plants Research Center, Yasuj University of Medical Sciences, Yasuj, Iran
مرکز تحقیقات گیاهان دارویی، دانشگاه علوم پزشکی یاسوج، یاسوج، ایران